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Metabolic Bone Health Unit

Work up required for 1st clinic visit

Please complete the following diagnostic tests to assess whether the patient meets the referral criteria to  the Osteoporosis Clinic.

Blood work
Calcium, Phosphate, PTH, alkaline phosphatase, 25(OH) Vitamin D, creatinine

Spot Urine
Calcium/creatinine ratio

Bone Mineral Density
SickKids is preferred because the equipment used provides a  Z score, which is age and gender specific.

If an outside laboratory is used, please ensure that a Z score can be provided

Thoracic Lumbar spine  AP & Lat
To be ordered only if clinically indicated

SickKids is preferred because of standardization of the procedure. If an outside radiological facility is used, please see attached details to give to the radiologist. These results are preferred in electronic form; otherwise please fax report to 416-813-6192 and send hardcopy with the family.